• Coding Auditor Educator

    Highmark Health (Sacramento, CA)
    …entities in response to external coding audits conducted by the Medicare Administrative Contractor , the RAC , MIC, ZPIC, etc. Determine appeal action, prepare ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more
    Highmark Health (08/08/25)
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  • Regulatory Affairs Specialist I

    Abbott (Sylmar, CA)
    …- key systems + CRM Regulatory CO capabilities to update documents + Audit support - providing Regulatory information for CRM related audits and performing back ... math, engineering, or medical fields. . Certification is a plus (such as RAC from the Regulatory Affairs Professionals Society.) . Think analytically with good… more
    Abbott (08/20/25)
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  • Chief Nursing Officer

    Prime Healthcare (Ontario, CA)
    …over quarter improvement in CMS Value Based Purchasing Program.9 Serves as the Assistant RAC Coordinator in consultation with HIM Director and PHS Revenue Audit ... team.10. Establishes and implements a mechanism for ongoing communication with nursing/patient care staff and conducts senior rounding with staff and patients/families on a routine basis.11. Performs all other duties as assigned or required. Qualifications 1.… more
    Prime Healthcare (06/22/25)
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